Clinical microbiology with multi-view deep probabilistic models

Clinical microbiology is one of the critical topics of this century. Identification and discrimination of microorganisms is considered a global public health threat by the main international health organisations, such as World Health Organisation (WHO) or the European Centre for Disease Prevention and Control (ECDC). Rapid spread, high morbidity and mortality, as well as the economic burden associated with their treatment and control are the main causes of their impact. Discrimination of microorganisms is crucial for clinical applications, for instance, Clostridium difficile (C. diff ) increases the mortality and morbidity of healthcare-related infections. Furthermore, in the past two decades, other bacteria, including Klebsiella pneumoniae (K. pneumonia), have demonstrated a significant propensity to acquire antibiotic resistance mechanisms. Consequently, the use of an ineffective antibiotic may result in mortality. Machine Learning (ML) has the potential to be applied in the clinical microbiology field to automatise current methodologies and provide more efficient guided personalised treatments. However, microbiological data are challenging to exploit owing to the presence of a heterogeneous mix of data types, such as real-valued high-dimensional data, categorical indicators, multilabel epidemiological data, binary targets, or even time-series data representations. This problem, which in the field of ML is known as multi-view or multi-modal representation learning, has been studied in other application fields such as mental health monitoring or haematology. Multi-view learning combines different modalities or views representing the same data to extract richer insights and improve understanding. Each modality or view corresponds to a distinct encoding mechanism for the data, and this dissertation specifically addresses the issue of heterogeneity across multiple views. In the probabilistic ML field, the exploitation of multi-view learning is also known as Bayesian Factor Analysis (FA). Current solutions face limitations when handling high-dimensional data and non-linear associations. Recent research proposes deep probabilistic methods to learn hierarchical representations of the data, which can capture intricate non-linear relationships between features. However, some Deep Learning (DL) techniques rely on complicated representations, which can hinder the interpretation of the outcomes. In addition, some inference methods used in DL approaches can be computationally burdensome, which can hinder their practical application in real-world situations. Therefore, there is a demand for more interpretable, explainable, and computationally efficient techniques for highdimensional data. By combining multiple views representing the same information, such as genomic, proteomic, and epidemiologic data, multi-modal representation learning could provide a better understanding of the microbial world. Hence, in this dissertation, the development of two deep probabilistic models, that can handle current limitations in state-of-the-art of clinical microbiology, are proposed. Moreover, both models are also tested in two real scenarios regarding antibiotic resistance prediction in K. pneumoniae and automatic ribotyping of C. diff in collaboration with the Instituto de Investigación Sanitaria Gregorio Marañón (IISGM) and the Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS). The first presented algorithm is the Kernelised Sparse Semi-supervised Heterogeneous Interbattery Bayesian Analysis (SSHIBA). This algorithm uses a kernelised formulation to handle non-linear data relationships while providing compact representations through the automatic selection of relevant vectors. Additionally, it uses an Automatic Relevance Determination (ARD) over the kernel to determine the input feature relevance functionality. Then, it is tailored and applied to the microbiological laboratories of the IISGM and IRyCIS to predict antibiotic resistance in K. pneumoniae. To do so, specific kernels that handle Matrix-Assisted Laser Desorption Ionization (MALDI)-Time-Of-Flight (TOF) mass spectrometry of bacteria are used. Moreover, by exploiting the multi-modal learning between the spectra and epidemiological information, it outperforms other state-of-the-art algorithms. Presented results demonstrate the importance of heterogeneous models that can analyse epidemiological information and can automatically be adjusted for different data distributions. The implementation of this method in microbiological laboratories could significantly reduce the time required to obtain resistance results in 24-72 hours and, moreover, improve patient outcomes. The second algorithm is a hierarchical Variational AutoEncoder (VAE) for heterogeneous data using an explainable FA latent space, called FA-VAE. The FA-VAE model is built on the foundation of the successful KSSHIBA approach for dealing with semi-supervised heterogeneous multi-view problems. This approach further expands the range of data domains it can handle. With the ability to work with a wide range of data types, including multilabel, continuous, binary, categorical, and even image data, the FA-VAE model offers a versatile and powerful solution for real-world data sets, depending on the VAE architecture. Additionally, this model is adapted and used in the microbiological laboratory of IISGM, resulting in an innovative technique for automatic ribotyping of C. diff, using MALDI-TOF data. To the best of our knowledge, this is the first demonstration of using any kind of ML for C. diff ribotyping. Experiments have been conducted on strains of Hospital General Universitario Gregorio Marañón (HGUGM) to evaluate the viability of the proposed approach. The results have demonstrated high accuracy rates where KSSHIBA even achieved perfect accuracy in the first data collection. These models have also been tested in a real-life outbreak scenario at the HGUGM, where successful classification of all outbreak samples has been achieved by FAVAE. The presented results have not only shown high accuracy in predicting each strain’s ribotype but also revealed an explainable latent space. Furthermore, traditional ribotyping methods, which rely on PCR, required 7 days while FA-VAE has predicted equal results on the same day. This improvement has significantly reduced the time response by helping in the decision-making of isolating patients with hyper-virulent ribotypes of C. diff on the same day of infection. The promising results, obtained in a real outbreak, have provided a solid foundation for further advancements in the field. This study has been a crucial stepping stone towards realising the full potential of MALDI-TOF for bacterial ribotyping and advancing our ability to tackle bacterial outbreaks. In conclusion, this doctoral thesis has significantly contributed to the field of Bayesian FA by addressing its drawbacks in handling various data types through the creation of novel models, namely KSSHIBA and FA-VAE. Additionally, a comprehensive analysis of the limitations of automating laboratory procedures in the microbiology field has been carried out. The shown effectiveness of the newly developed models has been demonstrated through their successful implementation in critical problems, such as predicting antibiotic resistance and automating ribotyping. As a result, KSSHIBA and FA-VAE, both in terms of their technical and practical contributions, signify noteworthy progress both in the clinical and the Bayesian statistics fields. This dissertation opens up possibilities for future advancements in automating microbiological laboratories.La microbiología clínica es uno de los temas críticos de este siglo. La identificación y discriminación de microorganismos se considera una amenaza mundial para la salud pública por parte de las principales organizaciones internacionales de salud, como la Organización Mundial de la Salud (OMS) o el Centro Europeo para la Prevención y Control de Enfermedades (ECDC). La rápida propagación, alta morbilidad y mortalidad, así como la carga económica asociada con su tratamiento y control, son las principales causas de su impacto. La discriminación de microorganismos es crucial para aplicaciones clínicas, como el caso de Clostridium difficile (C. diff ), el cual aumenta la mortalidad y morbilidad de las infecciones relacionadas con la atención médica. Además, en las últimas dos décadas, otros tipos de bacterias, incluyendo Klebsiella pneumoniae (K. pneumonia), han demostrado una propensión significativa a adquirir mecanismos de resistencia a los antibióticos. En consecuencia, el uso de un antibiótico ineficaz puede resultar en un aumento de la mortalidad. El aprendizaje automático (ML) tiene el potencial de ser aplicado en el campo de la microbiología clínica para automatizar las metodologías actuales y proporcionar tratamientos personalizados más eficientes y guiados. Sin embargo, los datos microbiológicos son difíciles de explotar debido a la presencia de una mezcla heterogénea de tipos de datos, tales como datos reales de alta dimensionalidad, indicadores categóricos, datos epidemiológicos multietiqueta, objetivos binarios o incluso series temporales. Este problema, conocido en el campo del aprendizaje automático (ML) como aprendizaje multimodal o multivista, ha sido estudiado en otras áreas de aplicación, como en el monitoreo de la salud mental o la hematología. El aprendizaje multivista combina diferentes modalidades o vistas que representan los mismos datos para extraer conocimientos más ricos y mejorar la comprensión. Cada vista corresponde a un mecanismo de codificación distinto para los datos, y esta tesis aborda particularmente el problema de la heterogeneidad multivista. En el campo del aprendizaje automático probabilístico, la explotación del aprendizaje multivista también se conoce como Análisis de Factores (FA) Bayesianos. Las soluciones actuales enfrentan limitaciones al manejar datos de alta dimensionalidad y correlaciones no lineales. Investigaciones recientes proponen métodos probabilísticos profundos para aprender representaciones jerárquicas de los datos, que pueden capturar relaciones no lineales intrincadas entre características. Sin embargo, algunas técnicas de aprendizaje profundo (DL) se basan en representaciones complejas, dificultando así la interpretación de los resultados. Además, algunos métodos de inferencia utilizados en DL pueden ser computacionalmente costosos, obstaculizando su aplicación práctica. Por lo tanto, existe una demanda de técnicas más interpretables, explicables y computacionalmente eficientes para datos de alta dimensionalidad. Al combinar múltiples vistas que representan la misma información, como datos genómicos, proteómicos y epidemiológicos, el aprendizaje multimodal podría proporcionar una mejor comprensión del mundo microbiano. Dicho lo cual, en esta tesis se proponen el desarrollo de dos modelos probabilísticos profundos que pueden manejar las limitaciones actuales en el estado del arte de la microbiología clínica. Además, ambos modelos también se someten a prueba en dos escenarios reales relacionados con la predicción de resistencia a los antibióticos en K. pneumoniae y el ribotipado automático de C. diff en colaboración con el IISGM y el IRyCIS. El primer algoritmo presentado es Kernelised Sparse Semi-supervised Heterogeneous Interbattery Bayesian Analysis (SSHIBA). Este algoritmo utiliza una formulación kernelizada para manejar correlaciones no lineales proporcionando representaciones compactas a través de la selección automática de vectores relevantes. Además, utiliza un Automatic Relevance Determination (ARD) sobre el kernel para determinar la relevancia de las características de entrada. Luego, se adapta y aplica a los laboratorios microbiológicos del IISGM y IRyCIS para predecir la resistencia a antibióticos en K. pneumoniae. Para ello, se utilizan kernels específicos que manejan la espectrometría de masas Matrix-Assisted Laser Desorption Ionization (MALDI)-Time-Of-Flight (TOF) de bacterias. Además, al aprovechar el aprendizaje multimodal entre los espectros y la información epidemiológica, supera a otros algoritmos de última generación. Los resultados presentados demuestran la importancia de los modelos heterogéneos ya que pueden analizar la información epidemiológica y ajustarse automáticamente para diferentes distribuciones de datos. La implementación de este método en laboratorios microbiológicos podría reducir significativamente el tiempo requerido para obtener resultados de resistencia en 24-72 horas y, además, mejorar los resultados para los pacientes. El segundo algoritmo es un modelo jerárquico de Variational AutoEncoder (VAE) para datos heterogéneos que utiliza un espacio latente con un FA explicativo, llamado FA-VAE. El modelo FA-VAE se construye sobre la base del enfoque de KSSHIBA para tratar problemas semi-supervisados multivista. Esta propuesta amplía aún más el rango de dominios que puede manejar incluyendo multietiqueta, continuos, binarios, categóricos e incluso imágenes. De esta forma, el modelo FA-VAE ofrece una solución versátil y potente para conjuntos de datos realistas, dependiendo de la arquitectura del VAE. Además, este modelo es adaptado y utilizado en el laboratorio microbiológico del IISGM, lo que resulta en una técnica innovadora para el ribotipado automático de C. diff utilizando datos MALDI-TOF. Hasta donde sabemos, esta es la primera demostración del uso de cualquier tipo de ML para el ribotipado de C. diff. Se han realizado experimentos en cepas del Hospital General Universitario Gregorio Marañón (HGUGM) para evaluar la viabilidad de la técnica propuesta. Los resultados han demostrado altas tasas de precisión donde KSSHIBA incluso logró una clasificación perfecta en la primera colección de datos. Estos modelos también se han probado en un brote real en el HGUGM, donde FA-VAE logró clasificar con éxito todas las muestras del mismo. Los resultados presentados no solo han demostrado una alta precisión en la predicción del ribotipo de cada cepa, sino que también han revelado un espacio latente explicativo. Además, los métodos tradicionales de ribotipado, que dependen de PCR, requieren 7 días para obtener resultados mientras que FA-VAE ha predicho resultados correctos el mismo día del brote. Esta mejora ha reducido significativamente el tiempo de respuesta ayudando así en la toma de decisiones para aislar a los pacientes con ribotipos hipervirulentos de C. diff el mismo día de la infección. Los resultados prometedores, obtenidos en un brote real, han sentado las bases para nuevos avances en el campo. Este estudio ha sido un paso crucial hacia el despliegue del pleno potencial de MALDI-TOF para el ribotipado bacteriana avanzado así nuestra capacidad para abordar brotes bacterianos. En conclusión, esta tesis doctoral ha contribuido significativamente al campo del FA Bayesiano al abordar sus limitaciones en el manejo de tipos de datos heterogéneos a través de la creación de modelos noveles, concretamente, KSSHIBA y FA-VAE. Además, se ha llevado a cabo un análisis exhaustivo de las limitaciones de la automatización de procedimientos de laboratorio en el campo de la microbiología. La efectividad de los nuevos modelos, en este campo, se ha demostrado a través de su implementación exitosa en problemas críticos, como la predicción de resistencia a los antibióticos y la automatización del ribotipado. Como resultado, KSSHIBA y FAVAE, tanto en términos de sus contribuciones técnicas como prácticas, representan un progreso notable tanto en los campos clínicos como en la estadística Bayesiana. Esta disertación abre posibilidades para futuros avances en la automatización de laboratorios microbiológicos.Programa de Doctorado en Multimedia y Comunicaciones por la Universidad Carlos III de Madrid y la Universidad Rey Juan CarlosPresidente: Juan José Murillo Fuentes.- Secretario: Jerónimo Arenas García.- Vocal: María de las Mercedes Marín Arriaz

Multispectral imaging for presymptomatic analysis of light leaf spot in oilseed rape

Background: The use of spectral imaging within the plant phenotyping and breeding community has been increasing due its utility as a non-invasive diagnostic tool. However, there is a lack of imaging systems targeted specifically at plant science duties, resulting in low precision for canopy-scale measurements. This study trials a prototype multispectral system designed specifically for plant studies and looks at its use as an early detection system for visually asymptomatic disease phases, in this case Pyrenopeziza brassicae in Brassica napus. The analysis takes advantage of machine learning in the form of feature selection and novelty detection to facilitate the classification. An initial study into recording the morphology of the samples is also included to allow for further improvement to the system performance. Results: The proposed method was able to detect light leaf spot infection with 92% accuracy when imaging entire oilseed rape plants from above, 12 days after inoculation and 13 days before the appearance of visible symptoms. False colour mapping of spectral vegetation indices was used to quantify disease severity and its distribution within the plant canopy. In addition, the structure of the plant was recorded using photometric stereo, with the output influencing regions used for diagnosis. The shape of the plants was also recorded using photometric stereo, which allowed for reconstruction of the leaf angle and surface texture, although further work is needed to improve the fidelity due to uneven lighting distributions, to allow for reflectance compensation. Conclusions: The ability of active multispectral imaging has been demonstrated along with the improvement in time taken to detect light leaf spot at a high accuracy. The importance of capturing structural information is outlined, with its effect on reflectance and thus classification illustrated. The system could be used in plant breeding to enhance the selection of resistant cultivars, with its early and quantitative capability

Learning to See with Minimal Human Supervision

Deep learning has significantly advanced computer vision in the past decade, paving the way for practical applications such as facial recognition and autonomous driving. However, current techniques depend heavily on human supervision, limiting their broader deployment. This dissertation tackles this problem by introducing algorithms and theories to minimize human supervision in three key areas: data, annotations, and neural network architectures, in the context of various visual understanding tasks such as object detection, image restoration, and 3D generation. First, we present self-supervised learning algorithms to handle in-the-wild images and videos that traditionally require time-consuming manual curation and labeling. We demonstrate that when a deep network is trained to be invariant to geometric and photometric transformations, representations from its intermediate layers are highly predictive of object semantic parts such as eyes and noses. This insight offers a simple unsupervised learning framework that significantly improves the efficiency and accuracy of few-shot landmark prediction and matching. We then present a technique for learning single-view 3D object pose estimation models by utilizing in-the-wild videos where objects turn (e.g., cars in roundabouts). This technique achieves competitive performance with respect to existing state-of-the-art without requiring any manual labels during training. We also contribute an Accidental Turntables Dataset, containing a challenging set of 41,212 images of cars in cluttered backgrounds, motion blur, and illumination changes that serve as a benchmark for 3D pose estimation. Second, we address variations in labeling styles across different annotators, which leads to a type of noisy label referred to as heterogeneous label. This variability in human annotation can cause subpar performance during both the training and testing phases. To mitigate this, we have developed a framework that models the labeling styles of individual annotators, reducing the impact of human annotation variations and enhancing the performance of standard object detection models. We have also applied this framework to analyze ecological data, which are often collected opportunistically across different case studies without consistent annotation guidelines. Through this application, we have obtained several insightful observations into large-scale bird migration behaviors and their relationship to climate change. Our next study explores the challenges of designing neural networks, an area that lacks a comprehensive theoretical understanding. By linking deep neural networks with Gaussian processes, we propose a novel Bayesian interpretation of the deep image prior, which parameterizes a natural image as the output of a convolutional network with random parameters and random input. This approach offers valuable insights to optimize the design of neural networks for various image restoration tasks. Lastly, we introduce several machine-learning techniques to reconstruct and edit 3D shapes from 2D images with minimal human effort. We first present a generic multi-modal generative model that bridges 2D images and 3D shapes via a shared latent space, and demonstrate its applications on versatile 3D shape generation and manipulation tasks. Additionally, we develop a framework for joint estimation of 3D neural scene representation and camera poses. This approach outperforms prior works and allows us to operate in the general SE(3) camera pose setting, unlike the baselines. The results also indicate this method can be complementary to classical structure-from-motion (SfM) pipelines as it compares favorably to SfM on low-texture and low-resolution images

Geometric deep learning: going beyond Euclidean data

Many scientific fields study data with an underlying structure that is a non-Euclidean space. Some examples include social networks in computational social sciences, sensor networks in communications, functional networks in brain imaging, regulatory networks in genetics, and meshed surfaces in computer graphics. In many applications, such geometric data are large and complex (in the case of social networks, on the scale of billions), and are natural targets for machine learning techniques. In particular, we would like to use deep neural networks, which have recently proven to be powerful tools for a broad range of problems from computer vision, natural language processing, and audio analysis. However, these tools have been most successful on data with an underlying Euclidean or grid-like structure, and in cases where the invariances of these structures are built into networks used to model them. Geometric deep learning is an umbrella term for emerging techniques attempting to generalize (structured) deep neural models to non-Euclidean domains such as graphs and manifolds. The purpose of this paper is to overview different examples of geometric deep learning problems and present available solutions, key difficulties, applications, and future research directions in this nascent field

Inferring Facial and Body Language

Machine analysis of human facial and body language is a challenging topic in computer vision, impacting on important applications such as human-computer interaction and visual surveillance. In this thesis, we present research building towards computational frameworks capable of automatically understanding facial expression and behavioural body language. The thesis work commences with a thorough examination in issues surrounding facial representation based on Local Binary Patterns (LBP). Extensive experiments with different machine learning techniques demonstrate that LBP features are efficient and effective for person-independent facial expression recognition, even in low-resolution settings. We then present and evaluate a conditional mutual information based algorithm to efficiently learn the most discriminative LBP features, and show the best recognition performance is obtained by using SVM classifiers with the selected LBP features. However, the recognition is performed on static images without exploiting temporal behaviors of facial expression. Subsequently we present a method to capture and represent temporal dynamics of facial expression by discovering the underlying low-dimensional manifold. Locality Preserving Projections (LPP) is exploited to learn the expression manifold in the LBP based appearance feature space. By deriving a universal discriminant expression subspace using a supervised LPP, we can effectively align manifolds of different subjects on a generalised expression manifold. Different linear subspace methods are comprehensively evaluated in expression subspace learning. We formulate and evaluate a Bayesian framework for dynamic facial expression recognition employing the derived manifold representation. However, the manifold representation only addresses temporal correlations of the whole face image, does not consider spatial-temporal correlations among different facial regions. We then employ Canonical Correlation Analysis (CCA) to capture correlations among face parts. To overcome the inherent limitations of classical CCA for image data, we introduce and formalise a novel Matrix-based CCA (MCCA), which can better measure correlations in 2D image data. We show this technique can provide superior performance in regression and recognition tasks, whilst requiring significantly fewer canonical factors. All the above work focuses on facial expressions. However, the face is usually perceived not as an isolated object but as an integrated part of the whole body, and the visual channel combining facial and bodily expressions is most informative. Finally we investigate two understudied problems in body language analysis, gait-based gender discrimination and affective body gesture recognition. To effectively combine face and body cues, CCA is adopted to establish the relationship between the two modalities, and derive a semantic joint feature space for the feature-level fusion. Experiments on large data sets demonstrate that our multimodal systems achieve the superior performance in gender discrimination and affective state analysis.Research studentship of Queen Mary, the International Travel Grant of the Royal Academy of Engineering, and the Royal Society International Joint Project